Healthcare Provider Details

I. General information

NPI: 1699822031
Provider Name (Legal Business Name): RICHARD PLAUT KAVEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4216 SYRACUSE RD
CAZENOVIA NY
13035-9665
US

IV. Provider business mailing address

4216 SYRACUSE RD
CAZENOVIA NY
13035-9665
US

V. Phone/Fax

Practice location:
  • Phone: 315-655-5850
  • Fax: 315-655-5850
Mailing address:
  • Phone: 315-655-5850
  • Fax: 315-655-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number127779
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: